1. CRCCP FORM 4 9/03 NOTICE OF APPEAL
County Court __________________________ County, Colorado
Court Address:
Plaintiff(s):
v.
Defendant(s):
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
Phone Number: E-mail:
FAX Number: Atty. Reg. #:
Case Number:
Division Courtroom
NOTICE OF APPEAL
To: The County Court in and for the County of _________________________, State of Colorado and the above
named ________________________________.
Please take notice that the undersigned will file an appeal.
Said appeal will be docketed in the District Court pursuant to Rule 411, Rules of County Court Civil Procedure.
Done this _________ day of ________________, 20 ______.
________________________________________ _________________________________________
Signature(s) of Appellant(s) Signature of Attorney for Appellant(s), if applicable
_________________________________________
Name, Address(es) of Appellant(s)
_________________________________________
Telephone Number(s) of Appellant(s)
CERTIFICATE OF MAILING
I certify that a true copy of the Notice of Appeal and the Designation of Record on Appeal was mailed, postage
prepaid, to _______________________________________________________ (opposing party(ies) or attorney),
at _______________________________________________________ (address), on ________________ (date).
________________________________
Appellant(s) or Attorney for Appellant(s)
